A NOVEL TECHNIQUE FOR MANAGEMENT OF THE EN BLOC BLADDER CUFF AND DISTAL URETER DURING LAPAROSCOPIC NEPHROURETERECTOMY

No AccessJournal of UrologyClinical Urology: Original Articles1 Feb 1999A NOVEL TECHNIQUE FOR MANAGEMENT OF THE EN BLOC BLADDER CUFF AND DISTAL URETER DURING LAPAROSCOPIC NEPHROURETERECTOMY INDERBIR S. GILL, JON J. SOBLE, SCOTT D. MILLER, and GYUNG TAK SUNG INDERBIR S. GILLINDERBIR S. GILL More articles by this author , JON J. SOBLEJON J. SOBLE More articles by this author , SCOTT D. MILLERSCOTT D. MILLER More articles by this author , and GYUNG TAK SUNGGYUNG TAK SUNG More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)61913-XAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The optimal technique of excising the juxtavesical ureter and bladder cuff during laparoscopic nephroureterectomy is still evolving. We report on a novel transvesical needlescopic (2 mm. instrumentation) assisted technique of en bloc retrieval of the juxtavesical ureter and bladder cuff during laparoscopic radical nephroureterectomy for upper tract transitional cell carcinoma. Materials and Methods: Retroperitoneal laparoscopic nephroureterectomy was performed in 8 patients using this technique. Two needlescopic ports (2 mm.) inserted suprapubically into the bladder were used in combination with a cystoscopically positioned Collins knife. Results: Satisfactory circumferential detachment of the bladder cuff and en bloc mobilization of 3 to 4 cm. of the intact pelvic extravesical ureter were achieved transvesically in each case in a manner comparable to open surgery. Conclusions: This technique simulates established open surgical principles of treating the distal ureter during laparoscopic nephroureterectomy. 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Google Scholar From the Section of Laparoscopic and Minimally Invasive Surgery, Department of Urology, The Cleveland Clinic Foundation, Cleveland, Ohio, and Perimeter Urology, Atlanta, Georgia(GILL) Requests for reprints: Section of Laparoscopic and Minimally Invasive Surgery, Department of Urology, The Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, Ohio 44195.© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byAboumohamed A, Krane L and Hemal A (2018) Oncologic Outcomes Following Robot-Assisted Laparoscopic Nephroureterectomy with Bladder Cuff Excision for Upper Tract Urothelial CarcinomaJournal of Urology, VOL. 194, NO. 6, (1561-1566), Online publication date: 1-Dec-2015.Berger A, Haber G, Kamoi K, Aron M, Desai M, Kaouk J and Gill I (2018) Laparoscopic Radical Nephroureterectomy for Upper Tract Transitional Cell Carcinoma: Oncological Outcomes at 7 YearsJournal of Urology, VOL. 180, NO. 3, (849-854), Online publication date: 1-Sep-2008.Ou C and Yang W (2018) Hand Assisted Retroperitoneoscopic Nephroureterectomy With the Patient Spread-Eagled: An Approach Through a Completely Supine PositionJournal of Urology, VOL. 180, NO. 5, (1918-1922), Online publication date: 1-Nov-2008.Kurzer E, Leveillee R and Bird V (2018) Combining Hand Assisted Laparoscopic Nephroureterectomy With Cystoscopic Circumferential Excision of the Distal Ureter Without Primary Closure of the Bladder Cuff—Is it Safe?Journal of Urology, VOL. 175, NO. 1, (63-67), Online publication date: 1-Jan-2006.Ou C, Yang W, Tzai T, Tong Y, Chang C and Lin Y (2018) A Modified Supine Position to Speed Hand Assisted Retroperitoneoscopic Nephroureterectomy: The Johnnie Walker PositionJournal of Urology, VOL. 176, NO. 5, (2063-2067), Online publication date: 1-Nov-2006.MATIN S and GILL I (2018) RECURRENCE AND SURVIVAL FOLLOWING LAPAROSCOPIC RADICAL NEPHROURETERECTOMY WITH VARIOUS FORMS OF BLADDER CUFF CONTROLJournal of Urology, VOL. 173, NO. 2, (395-400), Online publication date: 1-Feb-2005.CHUEH S, CHEN J, HSU W, HSIEH M and LAI M (2018) HAND ASSISTED LAPAROSCOPIC BILATERAL NEPHROURETERECTOMY IN 1 SESSION WITHOUT REPOSITIONING PATIENTS IS FACILITATED BY ALTERNATING INFLATION CUFFSJournal of Urology, VOL. 167, NO. 1, (44-47), Online publication date: 1-Jan-2002.LAGUNA M and de la ROSETTE J (2018) THE ENDOSCOPIC APPROACH TO THE DISTAL URETER IN NEPHROURETERECTOMY FOR UPPER URINARY TRACT TUMORJournal of Urology, VOL. 166, NO. 6, (2017-2022), Online publication date: 1-Dec-2001.GILL I, PONSKY L, DESAI M, KAY R and ROSS J (2018) LAPAROSCOPIC CROSS-TRIGONAL COHEN URETERONEOCYSTOSTOMY: NOVEL TECHNIQUEJournal of Urology, VOL. 166, NO. 5, (1811-1814), Online publication date: 1-Nov-2001.GONZALEZ C, BATLER R, SCHOOR R, HAIRSTON J and NADLER R (2018) A NOVEL ENDOSCOPIC APPROACH TOWARDS RESECTION OF THE DISTAL URETER WITH SURROUNDING BLADDER CUFF DURING HAND ASSISTED LAPAROSCOPIC NEPHROURETERECTOMYJournal of Urology, VOL. 165, NO. 2, (483-485), Online publication date: 1-Feb-2001.GILL I, SUNG G, HOBART M, SAVAGE S, MERANEY A, SCHWEIZER D, KLEIN E and NOVICK A (2018) LAPAROSCOPIC RADICAL NEPHROURETERECTOMY FOR UPPER TRACT TRANSITIONAL CELL CARCINOMA: THE CLEVELAND CLINIC EXPERIENCEJournal of Urology, VOL. 164, NO. 5, (1513-1522), Online publication date: 1-Nov-2000.GILL I, SAVAGE S, SENAGORE A and SUNG G (2018) LAPAROSCOPIC ILEAL URETERJournal of Urology, VOL. 163, NO. 4, (1199-1202), Online publication date: 1-Apr-2000.FAZELI-MATIN S, GILL I, HSU T, SUNG G and NOVICK A (2018) LAPAROSCOPIC RENAL AND ADRENAL SURGERY IN OBESE PATIENTS: COMPARISON TO OPEN SURGERYJournal of Urology, VOL. 162, NO. 3 Part 1, (665-669), Online publication date: 1-Sep-1999. Volume 161Issue 2February 1999Page: 430-434 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information INDERBIR S. GILL More articles by this author JON J. SOBLE More articles by this author SCOTT D. MILLER More articles by this author GYUNG TAK SUNG More articles by this author Expand All Advertisement PDF downloadLoading ...